HomeMy WebLinkAbout1965-11-03 Permit, Water Supply System #957Village Permit No 957
Contractor Rt
Owner __-- -- _-_ . _ _-- Address_+ —
State License No. _— __- Village License No.,;4 7
GENERAL PERMITj�,,,�.
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date—W—V ;
Parcel N'T'� _
Section No.� Lot.-- Block__ Subdivision Q -
Plat No.—_
Other Description:,
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
sewage disposal systems
Repair
Install
ter supply systems:
Fcc S—
Fee $ _--_—
FCC
Fee
Signature of applicant
Signature of Village Official
Total amount paid to Village....... 5r-- -_ ---- - _ — t: _ _